Randon Carl Jenkins, - Medicare Nurse Practitioner in Warren, MI

Randon Carl Jenkins, is a medicare enrolled "Nurse Practitioner - Gerontology" in Warren, Michigan. His current practice location is 4669 E 8 Mile Rd, Warren, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 416-6262.

Randon Carl Jenkins is licensed to practice in Michigan (license number 4704273274) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093217218.

Contact Information

Randon Carl Jenkins,
4669 E 8 Mile Rd,
Warren, MI 48091-2709
(313) 416-6262
Not Available



Provider's Profile

Full NameRandon Carl Jenkins
GenderMale
SpecialityNurse Practitioner - Gerontology
Location4669 E 8 Mile Rd, Warren, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093217218
  • Provider Enumeration Date: 03/03/2018
  • Last Update Date: 03/03/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2567715451
  • Enrollment ID: I20181023001097

Medical Identifiers

Medical identifiers for Randon Carl Jenkins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093217218NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 4704273274 (Michigan)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Randon Carl Jenkins allows following entities to bill medicare on his behalf.
Entity NameSami Abu Farha Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073664843
PECOS PAC ID: 2264486372
Enrollment ID: O20050310000550

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Randon Carl Jenkins is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Randon Carl Jenkins,
6547 Windmill Ln,
West Bloomfield, MI 48324-3759

Ph: (313) 516-7690
Randon Carl Jenkins,
4669 E 8 Mile Rd,
Warren, MI 48091-2709

Ph: (313) 416-6262

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Nurse Practitioner Nurses in Warren, MI

Lauren Koenig, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4669 E 8 Mile Rd, Warren, MI 48091
Phone: 313-416-6262    
Rowena Callo Teodoro, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 27560 Hoover Rd., Warren, MI 48093
Phone: 586-757-6400    Fax: 586-757-8400
Mrs. Lauren Ashley Zipay, AGACNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093
Phone: 586-573-5000    
Li Song, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 29245 Ryan Rd Ste 300, Warren, MI 48092
Phone: 586-578-0222    
Alexander Cole-selvaggio, ANP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 27101 Schoenherr Rd, Warren, MI 48088
Phone: 586-758-5800    Fax: 586-758-5841
Jenny Dessinger, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 27560 Hoover Rd, Warren, MI 48093
Phone: 586-757-6400    

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